Community-Based Adult Group Programming: Approaches to ...

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Association canadienne des ergothérapeutesCanadian Association of Occupational Therapists1

CAOT Professional DevelopmentPractice Evidence Webinar

Association canadienne des ergothérapeutesCanadian Association of Occupational Therapists

Community-Based Adult Group Programming: Approaches to Plan,

Implement and Sustain Services

Presenters:

Rosanna Wegner, BScOT

Gina Shimoda, BScOT

September 10, 2019


Objectives

• Learn approach to community group programming

• Identify factors to consider when developing a program

• Apply strategies to enable an engaged and safe

learning environment for group participants


Rehabilitation Conceptual Framework

Wegner, R., & Shimoda, G. (2019, September 10). Community-based adult group programming: Approaches to plan, implement and sustain services. In CAOT Practice Evidence Webinars series. Retrieved from http://www.caot.ca/site/pt/resources/odwebinars?nav=sidebar

These webinar materials are copyrighted to the presenters and may not be distributed or shared without the express permission of the presenters.

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Who are we?

• Healthy Aging Resource Team

• Community Rehabilitation, Occupational TherapyServices for Seniors 1999

• Continuum

Health

-Being Healthy, Living Well with Illness and Disability

Service

-Prevention

-Chronic Disease Management

-Health Promotion


Needs Assessment – Methods

• Needs surveys

• Students to help with literature search and review

• Community profile and trend analysis review

• Partnership consultation

• Feedback evaluations

• Review of government direction

• Literature review


Goals of Service

Focused on:

• Influencing

• Prevention

• Maximizing activity

• Minimizing impairment

• Enhancing capacity

• Maximizing participation



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Acceptable

Client-centred


Acceptable –Goal Wheel

• HARD (Heartfelt,

Animated,Required, Difficult) Goals

• Adapted COPM



Goal Wheel Boosting Your Memory Session 1

___________________________________________________

Goal Wheel

Name: Date:

Action I will _____________________________(what) __________________________ (how much) __________________________ (when) _______________________(how often)

Action

I will ___________________________ (what) ____________________________ (how much) ____________________________ (when) ___________________(how often)

Action I will _____________________(what) __________________________ (how much) __________________________ (when) _______________________(how often)

Action

I will _____________________(what)

__________________________ (how much)

______________________________ (when)

___________________________(how often)

Please put your main goal in the circle. Put your actions to achieve your goal in the surrounding areas.

How well are you doing this now?

☺

0 1 2 3 4 5 6 7 8 9 10

How happy are you with that?

0 1 2 3 4 5 6 7 8 9 10

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Acceptable

Client-centred

Accessible –

timely services



Acceptable

Client-centred

Accessible –

timely services

Appropriate –

population focused,

optimized roles


Appropriate? Why Occupational Therapy is Unique

• Client-centred

• Therapeutic use of self

• Coaching approach

• Engage group in meaningful occupations

• Increase self-reliance in health decisions



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Acceptable

Client-centred

Accessible –

timely services

Appropriate –

population focused,

optimized roles

Effective –

collaborative,

evidence-informed,

strength-based,

outcomes-driven


Alberta Dementia Strategy

Alberta Dementia Strategy and Action Plan. (2017, December). https://open.alberta.ca/dataset/772005d6-

94f8-4a62-a39b-cc91265f3fca/resource/40959fbb-ca1d-4b44-8864-f05e8d1c6d0f/download/alberta-

dementia-strategy-and-action-plan.pdf



https://open.alberta.ca/dataset/772005d6-94f8-4a62-a39b-cc91265f3fca/resource/40959fbb-ca1d-4b44-8864-f05e8d1c6d0f/download/alberta-dementia-strategy-and-action-plan.pdf

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Alberta Dementia Strategy

Alberta Dementia Strategy and Action Plan. (2017, December). https://open.alberta.ca/dataset/772005d6-

94f8-4a62-a39b-cc91265f3fca/resource/40959fbb-ca1d-4b44-8864-f05e8d1c6d0f/download/alberta-

dementia-strategy-and-action-plan.pdf




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Effectiveness - BYBH ServiceOutcomes

• Feedback Surveys

• Outcome measures – Multifactorial Memory Questionnaire (MMQ), Functional Activities Questionnaire, EQ5D-5L

• Retention rates

• Paired t-test - MMQ



Acceptable

Client-centred

Accessible –

timely services

Appropriate –

population focused,

optimized roles

Effective –

collaborative,

evidence-informed,

strength-based,

outcomes-drivenEfficient – cost-effective,

sustainable



Acceptable

Client-centred

Accessible –

timely services

Appropriate –

population focused,

optimized roles

Effective –

collaborative,

evidence-informed,

strength-based,

outcomes-drivenEfficient – cost-effective,

sustainable

Safe – transparency,

respecting one’s

choices



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Advantages of Community Group Programming

• Efficiency

• Increases socialization

• Connections to community

• Peer encouragement


Program Service Plan “Boosting Your Memory” (BYM) 2017

• 6 weeks

• 130 page workbook

• Occupational therapist facilitator

• Interdisciplinary guestspeakers

• Healthy living messaging

• Behaviour change strategies – goal setting, reflection

“Boosting Your Brain Health” (BYBH) 2018

• Targeted, reduce sessions, reduce redundancy, reducepaper

• Focused targetedpopulation

• Evaluation

• Healthy partnerships –primary care networks, seniors clinics

• Advocacy


Service Delivery Parameters

Health Promotion and Prevention

Boosting Your Brain Health

System Linkages – referrals, STEP Program, PCN

Universal

Clinical

Targeted



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Keys to Success

• Community stakeholder partnerships

• Marketing

• Staffing

• Training

• Resources

• Accessibility


ReferencesAlberta Health, Continuing Care (2017). Alberta Dementia Strategy and Action Plan Retrieved

August 10, 2019 from https://open.alberta.ca/dataset/772005d6-94f8-4a62-a39b-cc91265f3fca/resource/40959fbb-ca1d-4b44-8864-f05e8d1c6d0f/download/alberta-dementia-strategy-and-action-plan.pdf

Alberta Health Services, Interprofessional Practice health Professions Strategy and Practice (2018). Rehabilitation conceptual framework. Retrieved August 10, 2019 from https://insite.albertahealthservices.ca/Main/assets/tms/prs/tms-prs-prov-rehab-conceptual-framework.pdf#search=rehabilitation%20conceptual%20framework

Gorelick et al. (2017). Defining optimal brain health in adults: A presidential advisory from the American Heart Association/American Stroke Association. Stroke, 48(10), 284-303.

Laukner, H., Krupa, T. M., Paterson, M. L. (2011). Conceptualizing community development: Occupational therapy practice at the intersection of health services and community. Canadian Journal of Occupational Therapy, 78(4), 260-268.

Mathew, L. (2016, June). HARD Goal Setting. Paper session presented at the meeting of Canadian Association of Occupational Therapists Conference, Banff, Canada.


ReferencesPublic Health Agency of Canada (2019). A dementia strategy for Canada. Retrieved

August 10, 2019 from https://www.canada.ca/en/public-health/services/publications/diseases-conditions/dementia-strategy.html)

Saczynski, J. et al. The effect of social engagement on incident dementia; The Honolulu-Asia aging study. American Journal of Epidemiology. 2006;163:433-440.

Savikko, N. et al. Psychosocial group rehabilitation for lonely older people: Favourable processes and mediating factors of intervention leading to alleviated loneliness. International Journal of Older People Nursing. 2010; 5(1), 16-24.

Townsend, E. (1988). Developing community occupational therapy services in Canada. Canadian Journal of Occupational Therapy, 55(2), 69-74.

Townsend, E. (1987). Strategies for community occupational therapy program development. Canadian Journal of Occupational Therapy, 54(2), 65-70.




https://insite.albertahealthservices.ca/Main/assets/tms/prs/tms-prs-prov-rehab-conceptual-framework.pdf#search=rehabilitation%20conceptual%20framework

https://www.canada.ca/en/public-health/services/publications/diseases-conditions/dementia-strategy.html

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Questions?

Rosanna [email protected]

Gina [email protected]

THANK YOU


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Community-Based Adult Group Programming: Approaches to ...

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